Apply - USA ESTA

The following information is requested from all non-immigrant visitor, not holding a temporary visa. Please provide all requested information. Each traveler must complete a separate application.

All fields marked with a red asterix * are mandatory

ESTA Step 1 Personal Information

- First name*
  
  In the First (Given) Name field, enter your first (given) name as the first name appears on your passport under the First or Given Name field. Do not include the middle name in this field. The first name is required to complete the application. If you have no first name, then enter the letters FNU which stands for First Name Unknown.
- Last name*
  
  In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application.
Are you known by any other names or aliases?*

Indicate whether you are known by any other names or aliases by selecting yes or no. Answering this question is required to complete your application.
- Yes
- No
- First name*
- Last name*
Gender*

Choose your gender, either male or female. The gender is required to complete the application.
- Male
- Female
- Birthdate*
  
  In the Day field, choose the day on which you were born. The day of birth is required to complete the application or to check the status of your application.
  
  In the Month field, choose the month in which you were born. The month of birth is required to complete the application or to check the status of your application.
  
  In the Year field, choose the year in which you were born. The year of birth is required to complete the application and to check the status of your application.
- City of Birth*
  
  Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet where you were born is required to complete the application. If you do not know the city in which you were born, enter UNKNOWN.
- Country of Birth*
  
  Choose the country in which you were born. The country where you were born is required to complete the application.
- First name mother*
  
  In the First (Given) Name field, enter your parent's first (given) name. Do not include the middle name in this field. The first name is required to complete the application. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN.
  
  First name father*
  
  In the First (Given) Name field, enter your parent's first (given) name. Do not include the middle name in this field. The first name is required to complete the application. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN.
- Last name mother*
  
  In the Family Name field, enter your parent's family name. The family name is required to complete the application. If you do not know one or both of your parents, enter UNKNOWN.
  
  Last name father*
  
  In the Family Name field, enter your parent's family name. The family name is required to complete the application. If you do not know one or both of your parents, enter UNKNOWN.

ESTA Step 2 Passport Information

- Passport number*
  
  Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application.
- Passport Issuing Country*
  
  Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application.
- Passport Issuance Date*
  
  Date: In the Day field, choose the day on which your passport was issued, as it appears on your passport under the Date of Issue field. The day on which the passport was issued is required to complete the application.
  
  In the Month field, choose the month in which your passport was issued, as it appears on your passport under the Date of Issue field. The month in which the passport was issued is required to complete the application.
  
  In the Year field, choose the year in which your passport was issued, as it appears on your passport under the Date of Issue field. The year in which the passport was issued is required to complete the application.
- Passport Expiration Date*
  
  In the Day field, choose the day on which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The day on which the passport expires is required to complete the application.
  
  In the Month field, choose the month in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The month in which the passport expires is required to complete the application.
  
  In the Year field, choose the year in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The year in which the passport expires is required to complete the application.
Are you a citizen of any other country?*

Indicate whether you are a citizen of any other country. Answering this question is required to complete your application.
- Yes
- No
Other Citizenship*

In the Country field, choose the country of your other citizenship(s). If you answered yes above, the country is required to complete your application.

In the Passport Number field, enter your passport number as it appears in your other passport(s). The passport number may contain numbers and/or characters. Please closely distinguish between the two, such as the numbers zero and one, and the letters O and I. The passport number is optional to complete your application.

Country*

Passport number
Have you ever been issued a passport or national identity card for travel by any other country? *

If you have never been issued any one of these documents by any other country answer "No" to this question. If you have been issued one of these documents from another country, but you do not remember the passport number or national identification card number and the year of expiration answer "UNKNOWN" in the passport number field.
Issuing Country*

Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application.

Document Type*

Please select the travel document type issued by another country.

Document Number*

Enter your document number as it appears on your travel document. The travel document may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O.

Expiration Year*

If you have multiple passports or national identity cards for each country please list all current and expired documents for each country that issued you a document.
OTHER CITIZENSHIP/NATIONALITY
Are you now, a citizen or national of any other country?*

If Yes, select the country first, then select how you acquired the citizenship/nationality.
Country of Citizenship / Nationality*

If you have multiple passports or national identity cards for each country please list all current and expired documents for each country that issued you a document.

How did you acquire citizenship / nationality from this country?*

A national of another country is a person born in the territory or possession of another country.

Other*

You indicated "Other" as answer. Provide additional information in the appropriate field.
Have you ever been a citizen or national of any other country?*

"Previous" means at any time in the past, without limitation.
Country of Citizenship / Nationality*

If you have multiple passports or national identify cards for each country please list all current and expired documents for each country that issued you a document

ESTA Step 3 Contact Information

Home Address

In the Address Line 1 field, enter the number and street of the location of your home address. Do not include the city and state in this field. Address line 1 is required to complete the application.

In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application.

In the Address Line 2 field, enter floor, building, or other, as appropriate. Do not include the city and state in this field. Address line 2 is optional to complete the application.

In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application.

In the State/Province/Region field, enter the state, province, or region. The state/province/region is required to complete the application.

In the Country field, choose the country. The country is required to complete the application.

Address Line 1*

Address Line 2

Apartment Number
City*

State/Province/Region*

Country*
Telephone Number

At least one telephone number is required to complete the application. If you do not have a telephone number, you may provide an alternative third-party telephone number belonging to a point of contact (e.g. a family member, friend, or business associate).

In the Type field, choose the type of the telephone number where you may be contacted. The telephone type is required to complete the application.

In the Country Code field, enter the country code of the telephone number where you may be contacted. The country code is required to complete the application.

In the Number field, enter the telephone number where you may be contacted. The number is required to complete the application.

Telephone Type*

Country Code + Phone*
Email*

Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate.)
Confirm your email*

ESTA Step 4 Emergency contact infomation in the U.S. or Abroad

First name* (Emergency Contact)

Enter your emergency point of contact who may be a person in or outside of the United States, e.g., a family member, friend, or business associate. In the Family Name field, enter your emergency contact's family name. You must complete this field to complete the application. If you have no emergency contact, enter UNKNOWN.

Last name* (Emergency Contact)

Enter your emergency point of contact who may be a person in or outside of the United States, e.g., a family member, friend, or business associate. In the First (Given) Name field, enter the emergency contact's first name. You must complete this field to complete the application. If you have no emergency contact (or your contact has only one name), enter UNKNOWN.
Telephone Number*

In the Country Code field, enter the country code of the telephone number of your emergency contact. The country code is required to complete the application. If you don't have a phone number of an emergency contact, you can enter zeros. In the Phone field, enter the phone number of your emergency contact. The phone number is required to complete the application. If you don't have a phone number of emergency contact, you can enter zeros.

Email

Enter your emergency contact's e-mail address. E-mail address is optional to complete the application. You may also enter UNKNOWN.

ESTA Step 5Travel Information

Is your travel to the US occurring in transit to another country? *

Indicate whether your travel to the US is occurring in transit to another country by selecting yes or no. Answering this question is required to complete your application.
- Yes
- No

Contact Point in the USA*

A U.S. point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address and telephone number of the location where you will be staying (e.g. a hotel name). You may also enter UNKNOWN.
Address Line 1*
Address Line 2
Apartment Number
City*
State*
Phone*

Enter your US point of contact's telephone number. The number is required to complete the application. If you do not have a point of contact telephone number you may enter zeros.
In the Address Line 1 field, enter the number and street of your US point of contact's address. Do not include the city and state in this field. Address line 1 is required to complete the application. You may also enter UNKNOWN.

In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application.

In the Address Line 2 field, enter floor, building, or other, as appropriate. Do not include the city and state in this field. Address line 2 is optional to complete the application.

In the City field, enter the city. The city is required to complete the application. You may also enter UNKNOWN.

In the State field, choose the state. The state is required to complete the application. You may also select UNKNOWN.

ESTA Step 6 Occupational Information

Did you presenly or in the past work for a corporation / Business *

Indicate whether you have a current or previous employer by selecting yes or no. Answering this question is required to complete your application.
- Yes
- No

Job Title

Name of Employer*

Address Line 1*

Address Line 2

City*

State/Province/Region*

Country*

Country Code

Phone

Apply For An ESTA

ESTA Step 1 Personal Information

ESTA Step 2 Passport Information

OTHER CITIZENSHIP/NATIONALITY

ESTA Step 3 Contact Information

ESTA Step 4 Emergency contact infomation in the U.S. or Abroad

ESTA Step 5Travel Information

ESTA Step 6 Occupational Information

ESTA Step 7 Please answer with yes or no to the following questions

Communicable Diseases

Physical or Mental Disorders

Drug Abusers and Drug Addicts

Waiver of Rights:

Apply For An ESTA